Utah Admin. Code R414-517-4 - Change in Hospital Status
(1)
(a) If a hospital's status changes during any
given year and it no longer falls under the definition of a hospital that is
subject to the assessment outlined in Section
26B-3-507, the hospital must
submit in writing to DIH a notice of the status change and the effective date
of that change. The notice must be mailed to the correct address, as follows,
and is only effective upon receipt by the Reimbursement Unit:
Via United States Postal Service:
Utah Department of Health and Human Services
DIH, OFS
Attn: Reimbursement Unit
P.O. Box 143102
Salt Lake City, UT 84114-3102
Via United Parcel Service, Federal Express, and similar:
Utah Department of Health and Human Services
DIH, OFS
Attn: Reimbursement Unit
288 North 1460 West
Salt Lake City, UT 84116-3231
(b) DIH may identify a hospital that has
changed status and will not include that hospital in the subsequent quarterly
assessment.
(2) The
following provisions apply for any period in which a hospital is no longer
subject to the assessment and notice has been given under Subsection (1)(a), or
when the hospital is identified by DIH under Subsection (1)(b):
(a) DIH shall require payment of the
assessment from that hospital for the full quarter in which the status change
occurred and the hospital will receive full payment, as outlined in Section
26B-3-511, for the applicable
quarter; and
(b) the hospital is
exempt from future assessment and not eligible for payment under this
rule.
(3) For state
fiscal year 2020 and subsequent years, before the beginning of each state
fiscal year, DIH shall determine whether a new provider is subject to the
assessment. DIH will add a newly identified provider prospectively, beginning
that new state fiscal year. For example, a May 2019 evaluation that identifies
a new provider will result in that new provider being added July
2019.
Notes
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